Active NPI
Kannika Green
- Family Nurse Practitioner
- Hoover, AL
National Provider Identifier
1093334856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-120836
- Practice address
- 10 Meadowview Dr
Hoover, AL 35242-7700 - Phone
- (205) 547-2323
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-120836 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-120836 | AL | Primary |
Addresses
Primary practice location
10 Meadowview Dr
Hoover, AL 35242-7700
Mailing address
10 Meadowview Dr
Hoover, AL 35242-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-120836 | AL | MD | Registered Nurse |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFIIBA/Endpoint/CFIIBA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1093334856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MEADOWVIEW DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352427700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEADOWVIEW DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352427700",
"telephone_number": "205-547-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "KANNIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-120836",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-120836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.